Alan Mannheimer, MD is a medicare enrolled "Pediatrics" physician in Edgewood, New Mexico. His current practice location is
104 Quail Trail, Unit B, Edgewood, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 208-0204.
Alan Mannheimer is licensed to practice in North Carolina (license number 2013-00527) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679717789.
Physician's Profile
Full Name | Alan Mannheimer |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 104 Quail Trail, Edgewood, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679717789
- Provider Enumeration Date: 04/21/2009
- Last Update Date: 12/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921081522
- Enrollment ID: I20100107000533
Medical Identifiers
Medical identifiers for Alan Mannheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679717789 | NPI | - | NPPES |
NC2050 | Medicaid | SC | |
1679717789 | Medicaid | NC | |
007868100 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | A95367 (California) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | ME114820 (Florida) | Secondary |
208000000X | Pediatrics | 0101277209 (Virginia) | Secondary |
208000000X | Pediatrics | 2013-00527 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alan Mannheimer allows following entities to bill medicare on his behalf.
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
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Entity Name | Taos Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alan Mannheimer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alan Mannheimer, MD 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 | Alan Mannheimer, MD 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 |
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